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HomeMy WebLinkAbout16870-z · OBM NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEI~AIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLb-I'ION OF THE WORK AUTHORIZED) No_ 16870 Z Permission ~s hereby gr~nted to: County Tox Map No 1000 Sect,on . .~....~..~... Block ...... ..~....~ ........ Lot No .). ~.' pursuont to opplicotlon doted ........ ~..~ ..~. Building Insp~tor. ...... , 19.~.~ , and approved by the Rev. 6/30/80 Exammed Approved Disapproved a/c 91.. , 19 3~ ~} , 199x~ Permit No. I BOARD OF HEALTH 3 SETS OF PLANS ....... SuRvEY ... CHECK . TOWN OF SOUTHOLD BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY (Braiding Inspector) ~N OF 8OU~OLD ,, APPLICATION FOR BUILDING PERMIT Date , 19 INSTRUCTIONS a. Tlus apphcat:on must be completely filled an by typewriter or in znk and submxtted to the Bmldmg Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showmg locatmn of lot and of butldmgs on premmes, relahonship to adjoining premises or pubhc stree or areas, and giving a detmled description of layout of property must be drawn on the dmgmm whmh ~s pa~ of thru app! eating. c.. ~e work covered by t~s apphcat~on may not be commenced before xssu~ce of Bu~dmg Permzt d. Upon approval of thru apphcatxon, the Bml&ng Inspector wall msued a Building Pe~t to the apphcant. Such pe~ sL~ be kept on the premmes available for mspectmn ~rou~out tke work, e. No building shall be occupied or used in whole or m p~t for any purpose whatever until a Ce~ficate of Occup~c shall have been granted by the Bmldxng Inspector. ~PLICATION IS HEREBY MADE to the Bmldmg Dep~tment for the ~ssu~ce of a Bmldmg Pemxt pu~uant to tl Bml&ng Zone Or&nance of the Town of Southold, Suffolk County, New York, ~d other apphcable Laws, Ordm~c~ t Regulatmns, for the construct:on of buildings, addmons or alterahons, or for removal or demoh~on, as hereM descnbe~ a~h~l:~lt~:~tze~%Sp~c~:~l~reW~l~e%~:~c~ll~:~de~c~a~y, h~~ulatlons, anSi State whether apphcant zs owner, lessee, agent, ~chztect, eng:neer, general contractor, electncmn, plumber or budde; (as on the tax roll or latest dee~OMED ~ ¢'~O~[D If apphcant zs a co~orahon, mgnature of duly authorized officer [ ~ (Name and tttle of coworate officer) ~EE 8~. ~__BY Y gL. ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED ~OT{FY 8OtkO~¢~O ,~t~n~ENT ~ 'v~ 1802 q ~,, tO a "M ~R ~ Braider's License No FOLLOWING INSPFCYIO~'. Plumber's Lmense No Electncmn's L~cense No Other Trade's Lzcense No ..... Locatmn of land on wh~ch proposed work wall be done ttouse Number Street County Tax Map No 1000 Section CO (Name) · Block Fded Map No FOuNDA'"IOt~, $ We', :,--QUIRED FOR PL)UR~O ROUGH ~AM,NL, e, '~MBING 3, tNSU~krlo¢' .. Lot / ....... State exzst]ng use and occupancy of premmes and intended use and occupancy of proposed construchon a. Exmung use and occupancy t/~P-~'f z-~ff>t/~7~'7/ .... , ....................... b. Intended use and occupancy .../'~...fi7 L: 39 27 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE~ FOR A~PPOVAL OF CCNSTRUCT'ON ONLY DATE HS APPROVED, HEALTH OERARTMENT-DATA FOR APPROVAL TO CONSTRUCT ~ NEAI~:EST WATER IAIN__~I ~' .N SOURCE OF ~ATI:~ PRI',,I~T£ ~_. PUli. LIe NOTES &-' STAKE SURVEY FOR J©~EPH PET[~SO~ LOT I, OREGON VIEW ESTATES AT CUTCHOGUE TOWN OF SO~THOLD SUFFOLK COUNTY, NEW YORK AUG 7,1985 MAY 9,1985 DATE JAN 7~ t985 SCALE t"= 50' NO 8,4- 1275 GUARANTEED TO~ M E T R 0 P OL I~_LJE_E~'"'~'t~R A N T y CO YOUNG YOUNG ALDEN W YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR N YS UCENSE NO 12845 HOWARO W YOUNG, LAND SURVEYOR NYS LICENSE NO 45893, 400 OSTRANDER AVENU RIVERHEAD, NEW YORK BRANOIS & SONS INC 1046